title: [Spontaneous perirenal hematoma in a lupic patient on haemodialysis treatment and with renal cysts].
abstract: The spontaneous perirenal hemorrhage usually presents as sudden pain in the side ipsilateral, no history of trauma. Acquired cystic kidney disease is a common finding in chronic hemodialysis patients. However, spontaneous bleeding from the rupture of the cyst is a rare clinical entity. We describe the case of a female patient, 45 years old, with controlled hypertension for 8 years, chronic renal failure for 15 years and lupus nephritis 2 years ago, undergoing hemodialysis three times a week since 2006, and who presented concurrently acquired cystic kidney disease. She was admitted to the emergency department complaining of sudden onset of pain in the thoraco-abdominal left. Perirenal hematoma was diagnosed by ultrasound and computed tomography of the abdomen. The patient underwent embolization of left renal artery, with good evolution.
authors.affiliation: USP-Ribeirão Preto.
authors.forename: Juliana Lins
authors.initials: JL
authors.lastname: Loureiro
authors.forename: Katienne Goes
authors.initials: KG
authors.lastname: Mendonça
authors.forename: Georgia de Araújo
authors.initials: Gde A
authors.lastname: Pacheco
authors.forename: Maria Fernanda Lucena
authors.initials: MF
authors.lastname: Soutinho
authors.forename: Gustavo Álvares
authors.initials: GÁ
authors.lastname: Presídio
authors.forename: André Felipe dos Santos
authors.initials: AF
authors.lastname: Ferreira
authors.forename: Agenor Antônio Barros
authors.initials: AA
authors.lastname: da Silva
authors.forename: Fernando Melro Silva
authors.initials: FM
authors.lastname: da Ressurreição
authors.forename: Ebeveraldo Amorim
authors.initials: EA
authors.lastname: Gouveia
authors.forename: Carlos Alexandre Ferreira
authors.initials: CA
authors.lastname: de Oliveira
authors.forename: Marcio Fernando Costa
authors.initials: MF
authors.lastname: Medeiros
authors.forename: Rogério César Correia
authors.initials: RC
authors.lastname: Bernardo
mesh_terms: D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology; D052177:Kidney Diseases, Cystic / Q000150:complications*; D008181:Lupus Nephritis / Q000150:complications*; D008875:Middle Aged; D006435:Renal Dialysis